Provider Demographics
NPI:1679792691
Name:MCDONALD & MELKERS, DDS
Entity Type:Organization
Organization Name:MCDONALD & MELKERS, DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEANINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:509-891-7770
Mailing Address - Street 1:930 N MULLAN RD STE 2
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-4004
Mailing Address - Country:US
Mailing Address - Phone:509-891-7770
Mailing Address - Fax:509-891-7773
Practice Address - Street 1:930 N MULLAN RD STE 2
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-4004
Practice Address - Country:US
Practice Address - Phone:509-891-7770
Practice Address - Fax:509-891-7773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA79151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty